Provider First Line Business Practice Location Address:
341 WYOMING AVE
Provider Second Line Business Practice Location Address:
SUITE #3
Provider Business Practice Location Address City Name:
WEST PITTSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18643
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-883-9020
Provider Business Practice Location Address Fax Number:
570-602-7754
Provider Enumeration Date:
04/17/2007